NICOLE SMITH – Family Nurse Practitioner, NPI 1053029454

NICOLE SMITH is a healthcare provider. based in Kerrville, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1098967 (TX). The NPI Number for NICOLE SMITH is 1053029454

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE SMITH
NPI
1053029454
Phone
Not provided
Address
575 HILL COUNTRY DR
Enumeration Date
14 November 2022
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302587669
Graduation Year
2022 (4 years ago)
PAC ID
7315319605
Group Practice PAC ID
4880079011
Professional Enrollment ID
I20230215000321
Address ID
TX780285270KE130XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for NICOLE SMITH

  • 575 HILL COUNTRY DR

    KERRVILLE, TX 780286024

    Phone:

    Type: Mailing

  • 130 W MAIN ST

    KERRVILLE, TX 780285270

    Phone: (830) 258-7669

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230215000321INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes262252$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen103101$0
99214Established patient office or other outpatient visit, 30-39 minutes6968$0
81003Automated urinalysis test6763$0
99203New patient office or other outpatient visit, 30-44 minutes6262$0
View full utilization report →

Insurance plans in this area (ZIP 78028)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880079011View full group profile
NameSpecialtyState
Nurse PractitionerTX
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is NICOLE SMITH's NPI number?
NICOLE SMITH's NPI is 1053029454 — the number used across U.S. healthcare to identify this provider.
Is NICOLE SMITH still an active registrant?
NICOLE SMITH carries an active NPI according to the public dataset.
How would a patient describe NICOLE SMITH's focus?
For NICOLE SMITH, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is NICOLE SMITH registered?
Use Kerrville, Texas as the headline location for NICOLE SMITH here.
Can I trust this NPI listing for NICOLE SMITH?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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